Step 1 of 11 0% Email Header<p>Thank you for taking the time out of your day to complete the Emotional Health and Well Being Assessment. </p><p>Your individual report is compiled in the PDF attached.</p>Email Footer<p>Sincerely yours,</p><p>Dr. Vicki Johanneck<br />DR. VICKI JOHANNECK, Psy.D, M.Div, BCC</p>Decision MakingDo your emotions sometimes take over resulting in a bad decision which you might later regret?I'm really struggling with this. I seem to lose control of my emotions all the time and it never ends up good. I'm often frustrated with this. I don't lose control of my emotions all the time but it happens more than I would like. I'm doing ok, but I would like to feel more in control of my emotions on a daily basis. I'm really successful with this. I am in control of my emotions almost all of the time. How would you rate yourself today, on a scale of 1-12?Where would you like to be in 12 months time, on a scale of 1-12? Can you work hard knowing there will be no return on your effort for a long time?I'm really struggling with this. I like to see my rewards right away or I lose my motivation. I'm often frustrated with this. I do ok for awhile but then I lose my motivation. I'm doing OK, but I could improve. I work hard and put in lots of effort but occasionally I lose steam. I'm really successful with this. I can work a long time knowing the reward in the end will be worth it! How would you rate yourself today, on a scale of 1-12?Where would you like to be in 12 months time, on a scale of 1-12? Self PerceptionAre you aware of and comfortable with your own faults and weaknesses?I'm really struggling with this. I don't like to look at my faults or weaknesses. I'm often frustrated with this. Once I start looking at my faults and weaknesses it overwhelms me and I quit doing it. I'm doing OK, but could improve. I know some of my faults and weaknesses but have not explored them in great detail. I'm really successful with this. I know most of my faults and weaknesses and am working to improve myself. How would you rate yourself today, on a scale of 1-12?Where would you like to be in 12 months time, on a scale of 1-12? How well do you feel you understand yourself?I'm really struggling with this. Sometimes I feel like I don't understand myself at all. I'm often frustrated with this. I want to know myself better but it is really challenging. I'm doing OK, but could improve. I am learning who I am but I know there is more to explore. I'm really successful with this. I have worked hard at figuring out who I am. How would you rate yourself today, on a scale of 1-12?Where would you like to be in 12 months time, on a scale of 1-12? Stress ManagementHow flexible are you with new ideas and change?I'm really struggling with this. Change is very difficult for me. I don't do well with change. I'm often frustrated with this. I often feel like I am ready for change but when it comes time to change I have difficulty following through.. I'm doing OK, but could improve. I handle some changes pretty well but still have to work hard to take others in stride. I'm really successful with this. I think I am very flexible and can adapt to changes relatively easily. How would you rate yourself today, on a scale of 1-12?Where would you like to be in 12 months time, on a scale of 1-12? How comfortable are you in highly stressful situations?I'm really struggling with this. During most highly stressful situations I want to run away or not deal with them. I'm often frustrated with this. I can do ok with highly stressful situations for a little bit but then I get really uncomfortable. I'm doing OK, but could improve. I do well in some highly stressful situations but not others. I'm really successful with this. I can take highly stressful situation in stride and feel confident in myself. How would you rate yourself today, on a scale of 1-12?Where would you like to be in 12 months time, on a scale of 1-12? Self ExpressionHow comfortable are you talking about your feelings?I'm really struggling with this. I usually never talk about my emotions. I'm often frustrated with this. I want to talk about my emotions but when i start doing that it feels too uncomfortable. I'm doing OK, but could improve. I am still guarded in conversations unless I am 100% comfortable. I'm really successful with this. I can talk about my emotions freely and openly. How would you rate yourself today, on a scale of 1-12?Where would you like to be in 12 months time, on a scale of 1-12? Do you depend upon others when facing a major decision?I'm really struggling with this. I usually need to get advice from as many people as possible before I make a decision. I'm often frustrated with this. I need to have other people help me with my decisions and point out what would be the best thing to do. I'm doing OK, but could improve. I depend upon myself some of the time but I still need to get help from my closest people. I'm really successful with this. Even if I get advice from others I will make my own decision in the end based upon what is best for me and anyone else it will effect. How would you rate yourself today, on a scale of 1-12?Where would you like to be in 12 months time, on a scale of 1-12? InterpersonalAre you a team player?I'm really struggling with this. I have a hard time working with others in a group setting. I'm often frustrated with this. Things start off good but then I usually have a conflict and end up wishing I would doing project by myself. I'm doing OK, but could improve. I get along with others most of the time but occasionally there is a situation that becomes challenging. I'm really successful with this. I blend well, either as a leader of a follower. How would you rate yourself today, on a scale of 1-12?What is your ideal score in 12 months time, on a scale of 1-12? How well can you identify what others are thinking and feeling?I'm really struggling with this. It is very hard for me to tell what others are thinking and feeling. I'm often frustrated with this. I think I know how others think and feel but then I find out I was wrong. I'm doing OK, but could improve. I can usually tell what others are thinking and feeling but sometimes I get it wrong. I'm really successful with this. I feel like I can usually tell what others are thinking and feeling so I act accordingly. How would you rate yourself today, on a scale of 1-12?What is your ideal score in 12 months time, on a scale of 1-12? Final Step One final step before we send you your results, which will enable you to understand where you are and where you want to be. Name* First Name Last Name Work Email* Email Consent* Yes, I give consent to securely store my details, email me my report along with future relevant tips and tricks supporting my score. Note: We will never share your details with any third party. View our Privacy Policy. Identify the most important numberTopic 1 GapTopic 2 GapTopic 3 GapTopic 4 GapTopic 5 GapTopic 1 Yes Most ImportantTopic 2 Yes Most ImportantTopic 3 Yes Most ImportantTopic 4 Yes Most ImportantTopic 5 Yes Most ImportantFeedback if Column 1Feedback if Column 2Feedback if Column 3Feedback if Column 4Q1 or Topic 1 Biggest Gap Feedback<p><strong>DECISION MAKING</strong></p><p>Looks like you are having trouble with this key topic area. Don't worry, you're not alone.</p>Q2 or Topic 2 Biggest Gap Feedback<p><strong>SELF PERCEPTION</strong></p><p>Looks like you are having trouble with this key topic area. Don't worry, you're not alone.</p>Q3 or Topic 3 Biggest Gap Feedback<p><strong>STRESS MANAGEMENT</strong></p><p>Looks like you are having trouble with this key topic area. Don't worry, you're not alone.</p>Q4 or Topic 4 Biggest Gap Feedback<p><strong>SELF EXPRESSION</strong></p><p>Looks like you are having trouble with this key topic area. Don't worry, you're not alone.</p>Q5 or Topic 5 Biggest Gap Feedback<p><strong>INTERPERSONAL</strong></p><p>Looks like you are having trouble with this key topic area. Don't worry, you're not alone.</p>Call to Action for EveryoneCall to Action For Column 1<p>I can see you are struggling and would love to see how I can help you improve.</p><p>Let's chat about your score.</p><p>Email me at <strong><a target="_blank" href="mailto:DrVickiJo@gmail.com">DrVickiJo@gmail.com</a></strong></p>Call to Action For Column 2<p>I can see you might be frustrated with some of the outcomes and would love to see how I can help you improve.</p><p>Let's chat about your score.</p><p>Email me at <strong><a target="_blank" href="mailto:DrVickiJo@gmail.com">DrVickiJo@gmail.com</a></strong></p>Call to Action For Column 3<p>I can see you are doing OK in most areas but I would love to see how I can help you reach your maximum potential.</p><p>Let's chat about your score and what this can look like.</p><p>Email me at <strong><a target="_blank" href="mailto:DrVickiJo@gmail.com">DrVickiJo@gmail.com</a></strong></p>Call to Action For Column 4<p>I can see you are successful in most areas but I would love to see how I can help you even further and ensure you stay on track.</p><p>Let's chat about your score and what this can look like.</p><p>Email me at <strong><a href="mailto:DrVickiJo@gmail.com">DrVickiJo@gmail.com</a></strong></p>Q1 or Topic 1 Biggest Gap Call to ActionQ2 or Topic 2 Biggest Gap Call to ActionQ3 or Topic 3 Biggest Gap Call to ActionQ4 or Topic 4 Biggest Gap Call to ActionQ5 or Topic 5 Biggest Gap Call to ActionFeedback IF 1Feedback IF 2Feedback IF 3Feedback IF 4Topic/Question 1 results text 1-3Topic/Question 1 results text 4-6Topic/Question 1 results text 7-9Topic/Question 1 results text 10-12Topic/Question 2 results text 1-3Topic/Question 2 results text 4-6Topic/Question 2 results text 7-9Topic/Question 2 results text 10-12Topic/Question 3 results text 1-3Topic/Question 3 results text 4-6Topic/Question 3 results text 7-9Topic/Question 3 results text 10-12Topic/Question 4 results text 1-3Topic/Question 4 results text 4-6Topic/Question 4 results text 7-9Topic/Question 4 results text 10-12Topic/Question 5 results text 1-3Topic/Question 5 results text 4-6Topic/Question 5 results text 7-9Topic/Question 5 results text 10-12Topic/Question 6 results text 1-3Topic/Question 6 results text 4-6Topic/Question 6 results text 7-9Topic/Question 6 results text 10-12Topic/Question 7 results text 1-3Topic/Question 7 results text 4-6Topic/Question 7 results text 7-9Topic/Question 7 results text 10-12Topic/Question 8 results text 1-3Topic/Question 8 results text 4-6Topic/Question 8 results text 7-9Topic/Question 8 results text 10-12Topic/Question 9 results text 1-3Topic/Question 9 results text 4-6Topic/Question 9 results text 7-9Topic/Question 9 results text 10-12Topic/Question 10 results text 1-3Topic/Question 10 results text 4-6Topic/Question 10 results text 7-9Topic/Question 10 results text 10-12Total of current:Total of desired:Simplified Current TotalSimplified Desired TotalTopic 1 Total for CurrentTopic 1 Total for DesiredTopic 2 Total for CurrentTopic 2 Total for DesiredTopic 3 Total for CurrentTopic 3 Total for DesiredTopic 4 Total for CurrentTopic 4 Total for DesiredTopic 5 Total for CurrentTopic 5 Total for DesiredCommentsThis field is for validation purposes and should be left unchanged. 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